Author/Authors :
Pimenta Bento, Angela Hospital do Espirito Santo, Largo Senhor da Pobreza, Portugal , Santos Pinto Fernandes, Renato Gil dos Hospital do Espirito Santo, Largo Senhor da Pobreza, Portugal , Henriques Silva Neves, David Cintra Hospital do Espirito Santo, Largo Senhor da Pobreza, Portugal , Ribeiro Patrício, Lino Manuel Hospital do Espirito Santo, Largo Senhor da Pobreza, Portugal , Chambel de Aguiar, José Eduardo Hospital do Espirito Santo, Largo Senhor da Pobreza, Portugal
Abstract :
Optical Coherence tomography (OCT) is a light-based imaging modality which shows tremendous potential in the setting of
coronary imaging. Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS). The
diagnosis of SCAD is made mainly with invasive coronary angiography, although adjunctive imaging modalities such as computed
tomography angiography, IVUS, and OCT may increase the diagnostic yield. The authors describe a clinical case of a young woman
admitted with the diagnosis of ACS. The ACS was caused by SCAD detected in the coronary angiography and the angioplasty was
guided by OCT. OCT use in the setting of SCAD has been already described and the true innovation in this case was this unique
use of OCT. The guidance of angioplasty with live and short images was very useful as it allowed clearly identifying the position of
the guidewires at any given moment without the use of prohibitive amounts of contrast.
Keywords :
Spontaneous Coronary , Dissection , Angioplasty , Coherence Tomography
